| NPI | 1275646879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3240) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC3689) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME R021758) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-09-20 |